Clinical characteristics and registry-validated extended pedigrees of germline TP53 mutation carriers in Denmark
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Clinical characteristics and registry-validated extended pedigrees of germline TP53 mutation carriers in Denmark. / Stoltze, Ulrik; Skytte, Anne-Bine; Roed, Henriette; Hasle, Henrik; Ejlertsen, Bent; Overeem Hansen, Thomas van; Schmiegelow, Kjeld; Gerdes, Anne-Marie; Wadt, Karin.
I: PLoS ONE, Bind 13, Nr. 1, e0190050, 2018.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Clinical characteristics and registry-validated extended pedigrees of germline TP53 mutation carriers in Denmark
AU - Stoltze, Ulrik
AU - Skytte, Anne-Bine
AU - Roed, Henriette
AU - Hasle, Henrik
AU - Ejlertsen, Bent
AU - Overeem Hansen, Thomas van
AU - Schmiegelow, Kjeld
AU - Gerdes, Anne-Marie
AU - Wadt, Karin
PY - 2018
Y1 - 2018
N2 - INTRODUCTION: TP53 mutation carrier (Li-Fraumeni Syndrome, LFS) cohort studies often suffer from lack of extensive pedigree exploration.METHODS: We performed a nation-wide exploration of TP53 mutation carrier families identified through all clinical genetics departments in Denmark. Pedigrees were expanded and verified using unique national person identification, cancer, cause of death, pathology, and church registries.RESULTS: We identified 30 confirmed, six obligate and 14 assumed carriers in 15 families harboring 14 different mutations, including five novel and three de novo germline mutations. All but two (96%) developed cancer by age 54 years [mean debut age; 29.1 y., median 33.0 y., n = 26 (17F, 9M), range 1-54 y]]. Cancer was the primary cause of all deaths [average age at death; 34.5 years]. Two tumors were identified through registry data alone. Two independent families harbored novel c.80delC mutations shown to be related through an ancestor born in 1907. This exhaustive national collection yielded markedly fewer TP53 mutation carriers than the 300-1,100 expected based on estimated background population frequencies.CONCLUSION: Germline TP53 mutations in Denmark are likely to be drastically underdiagnosed despite their severe phenotype. Following recent advances in surveillance options of LFS patients, lack of pre-symptomatic testing may lead to the mismanagement of some individuals.
AB - INTRODUCTION: TP53 mutation carrier (Li-Fraumeni Syndrome, LFS) cohort studies often suffer from lack of extensive pedigree exploration.METHODS: We performed a nation-wide exploration of TP53 mutation carrier families identified through all clinical genetics departments in Denmark. Pedigrees were expanded and verified using unique national person identification, cancer, cause of death, pathology, and church registries.RESULTS: We identified 30 confirmed, six obligate and 14 assumed carriers in 15 families harboring 14 different mutations, including five novel and three de novo germline mutations. All but two (96%) developed cancer by age 54 years [mean debut age; 29.1 y., median 33.0 y., n = 26 (17F, 9M), range 1-54 y]]. Cancer was the primary cause of all deaths [average age at death; 34.5 years]. Two tumors were identified through registry data alone. Two independent families harbored novel c.80delC mutations shown to be related through an ancestor born in 1907. This exhaustive national collection yielded markedly fewer TP53 mutation carriers than the 300-1,100 expected based on estimated background population frequencies.CONCLUSION: Germline TP53 mutations in Denmark are likely to be drastically underdiagnosed despite their severe phenotype. Following recent advances in surveillance options of LFS patients, lack of pre-symptomatic testing may lead to the mismanagement of some individuals.
KW - Adolescent
KW - Adult
KW - Child
KW - Child, Preschool
KW - Denmark
KW - Female
KW - Genes, p53
KW - Germ-Line Mutation
KW - Humans
KW - Infant
KW - Male
KW - Middle Aged
KW - Pedigree
KW - Registries
KW - Young Adult
U2 - 10.1371/journal.pone.0190050
DO - 10.1371/journal.pone.0190050
M3 - Journal article
C2 - 29324801
VL - 13
JO - PLoS ONE
JF - PLoS ONE
SN - 1932-6203
IS - 1
M1 - e0190050
ER -
ID: 213034551